IndividualActive
Kyle Jansen
NPI 1558117267 · Institutional Pharmacy · Roanoke, VA
Provider details
- NPI number
- 1558117267
- Entity type
- Individual
- Primary specialty
- Institutional PharmacySuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0202221323 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1906 Belleview Ave Se
Roanoke, VA 24014-1838
Phone: (540) 759-1058
Street-level locationGet directions
Mailing address
1906 Belleview Ave Se
Roanoke, VA 24014-1838
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.